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American Family Physician
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1279 1337 1315
Articles
1279 Epstein-Barr Virus Infectious Mononucleosis
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MARK H. EBELL, M.D., M.S.
Infectious mononucleosis should be suspected in patients 10 to 30 years of age who present with fever and sore throat, particularly if they also have significant anterior cervical adenopathy, significant fatigue, posterior cervical adenopathy, inguinal adenopathy, splenomegaly, or palatal petechiae. CME

Patient information: "Things to Know About Infectious Mononucleosis," p. 1289

   
1293 Pharmacologic Prevention of Osteoporotic Fractures
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THOMAS M. ZIZIC, M.D.
Bisphosphonates are the most effective agents for reducing the risk of vertebral and nonvertebral fractures. Other options include teriparatide, raloxifene, and salmon calcitonin. Although hormone therapy reduces fracture risk, the benefits may not outweigh the reported risks. CME

Editorial: "Osteoporosis Management: Out of Subspecialty Care and into Primary Care," p. 1219

   
1303 Blunt Trauma in Pregnancy
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NANCY BETH GROSSMAN, M.D.
Trauma is the most common cause of nonobstetric death among pregnant women in the United States. All pregnant women with traumatic injury should be assessed formally in a medical setting. Prevention of trauma through proper use of seat belts and recognition of domestic violence is important. CME

Patient information: "Seat Belt Use During Pregnancy," p. 1313

   
1315 Management of Acute Nasal Fractures
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CORRY J. KUCIK, LT, MC, USN, TIMOTHY CLENNEY, CDR, MC, USN, and JAMES PHELAN, CDR, MC, USN
Injuries to the nose are relatively common; in cases of facial trauma, nasal fractures account for about 40 percent of bone injuries. Treatment in the primary care setting consists of evaluation, pain and infection management, minimal debridement and, when the physician is appropriately trained, closed reduction. CME
    


Departments
  
Keeping Up to Date
1325 Clinical Evidence

• Benign Prostatic Hyperplasia

1348 POEMs and Tips from Other Journals
1397 Practice Guidelines

• ACOG Releases Guidelines for Vaginal Birth After Cesarean Delivery

• First-Trimester Screening for Genetic Defects

• AAP Report on Adolescent Sexuality

   
  
Answering Clinical Questions
1268 Cochrane for Clinicians

• Effectiveness of Condoms in Reducing Heterosexual Transmission of HIV

• Drug Treatments for Patients with Dysthymia

• Optimal Dosage of Tricyclic Antidepressants

1329 Putting Prevention into Practice

• Screening for Dementia

1331 FPIN's Clinical Inquiries

• What Is the Best Antiviral Agent for Influenza Infection?

1337 Photo Quiz
   
  
Commentary
1197 Inside AFP
1219 Editorials

• Osteoporosis Management: Out of Subspecialty Practice and into Primary Care

• The Continuity of Care Record

1226 Letters to the Editor

• Night Sweats Are Commonly Vasomotor Symptoms

• Potential Interaction Between Soy Milk and Warfarin

   
  
Medicine and Society
1205 Newsletter
1209 Quantum Sufficit
1262 Diary from a Week in Practice
    
  
Readers Services
1201 Strength of Recommendation Taxonomy in AFP
1213 Clinical Quiz
1236 CME Calendar
1276 Levels-of-Evidence Labels in AFP
1341 Patient Information Collection
1364 Definition of POEMs
1394 Change-of-Address Form
1403 Classified Information
   Information for Authors

ACF This article exemplifies the AAFP 2004 Annual Clinical Focus on aging.

This article is included as part of this issue's continuing medical education (CME) activity. See "Clinical Quiz."

This logo designates clinical content that conforms to AAFP criteria for evidence-based continuing medical education (EB CME). EB CME is clinical content presented with practice recommendations supported by evidence that has been systematically reviewed by an AAFP-approved source.


Cover illustration © 2004 Michael Kress-Russick, Madison, Wis.



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